Individual
BETTI RAYDEEN WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 OLD ROSWELL LAKES PKWY STE 310, ROSWELL, GA 30076-8667
(888) 731-8994
Mailing address
900 OLD ROSWELL LAKES PKWY STE 310, ROSWELL, GA 30076-8667
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN146147
GA
363LF0000X
Family Nurse Practitioner
RN147136
GA
Other
Enumeration date
02/16/2016
Last updated
12/08/2024
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